Individual
KIMBERLY HARWOOD WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
138 INDUSTRY LN, UNIT 5A, FOREST HILL, MD 21050-1741
(443) 752-1617
Mailing address
2311 QUEENSBURY DR, FALLSTON, MD 21047-2929
(410) 877-9692
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
01809
MD
225XR0403X
Driving and Community Mobility Occupational Therapist
01809
MD
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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